Mrs. Matt Windham Jr.
Mrs. Matt Windham Jr. is a Contractor in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
2056 E 71st StChicago, IL 60649-2117
Phone: (773) 288-2844
Fax: (773) 288-2848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1790886398 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2056 E 71st St, Chicago, IL 60649-2117 |
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